Influence of new technologies on thyroid surgery: state of the art

被引:16
作者
Dionigi, Gianlorenzo
Bacuzzi, Alessandro
Boni, Luigi
Rovera, Francesca
Piantanida, Eliana
Tanda, Maria Laura
Diurni, Mario
Carcano, Giulio
Luigi, Bartalena
Cuffari, Salvatore
Dionigi, Renzo
机构
[1] Univ Insubria, Dept Surg Sci, Azienda Osped Univ Fdn Macchi, I-21100 Varese, Italy
[2] Univ Insubria, Dept Anesthesia, Azienda Osped Univ Fdn Macchi, Varese, Italy
[3] Univ Insubria, Div Endocrinol, Azienda Osped Univ Fdn Macchi, Varese, Italy
关键词
cervical epidural anesthesia; electrothermal bipolar vessel sealing system; genetic screening; hemostatic absorbable gauze; harmonic scalpel; laryngeal mask airway; ligasure; mini-invasive video-assisted thyroidectomy; MIVAT; neuromonitoring; regional anesthesia; RFT; spongostan; target-controlled infusion; thyroidectomy; total intravenous anesthesia; ultrasonic coagulating-dissection systems;
D O I
10.1586/17434440.2.5.547
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
The history of thyroid surgery starts with Billroth, Kocher and Halsted, who developed the technique for thyroidectomy between 1873 and 1910. In general, the essential objectives for thyroidectomy are conservation of the parathyroid glands, avoidance of injury to the recurrent laryngeal nerve, an accurate hemostasis and an excellent cosmesis. In the last 20 years, major improvements and new technologies have been proposed and applied in thyroid surgery; among these are mini-invasive thyroidectomy, new devices for achieving hemostasis and dissection, regional anesthesia and intraoperative neuromonitoring.
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页码:547 / 557
页数:11
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